GONZALES YOUTH COUNCIL-Youth Council Member Application
Aidan Cervantes and Magaly Santos
Youth Commissioners’ email: GYC@gonzales.k12.ca.us
Email address *
A. General Information:
Full name: *
Birthday *
School *
Incoming Grade Level (The grade you will be in for the 2020-2021 school year) *
Mailing Address (Please include City, Zip code, and State) *
Phone Number (personal) *
Parent/Guardian Name and Phone Number *
1. Why are you interested in serving on the Youth Council? *
2. What do you believe will be the most challenging about successfully serving as a Youth Council member? *
3. What do you most want to gain from this experience?
4. Please list your community involvement, extracurricular activities &/or leadership experiences. Be sure to note which are prior, current, or expected future activities. *
We are planning to have meetings from 3-5pm on Wednesday. Does this time work for you, if not write down a time that does. *
What are some of your concerns &/or goals related to improving your school, community, and/or city? Please share why these concerns/goals are significant to you AND at least one idea you have for addressing via the Gonzales Youth Council. *
D. Reference Information
Please share the Name, email/phone number, and relationship to an adult who would be willing to recommend you for this position (e.g., teacher, coach, advisor, mentor, pastor, etc.). *
E. Verifying Agreement
Please copy and paste this link to send you to the google doc with information necessary to complete the following questions:

By checking "YES", you affirm you understand and agree to fulfill the Gonzales Youth Council (GYC) Member responsibilities; and you know you want to make Gonzales an even more youth-friendly and success-supporting, you understand the commitment required for being a successful Youth Council Member, and you believe you have what it takes to be a successful Youth Council Member. *
By checking "YES", you affirm you understand and agree that you have read over all the valuable information that includes important dates, roles and responsibilities of a member, application checklist, eligibility to serve, benefits, and process. *
F. Questions, Concerns, and/or Additional Considerations (comments)
Please share any questions, concerns &/or additional considerations you like the Selection Committee to address:
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Gonzales Unified School District.